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ICD-10 Guide
ICD-10 CodesE09.44

E09.44

Billable

Drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophy

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E09.44 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophy.

Key Diagnostic Point:

E09.44 refers to diabetes mellitus that is induced by drugs or chemicals, specifically characterized by neurological complications such as diabetic amyotrophy. This condition arises when certain medications or toxic substances lead to insulin resistance or impaired insulin secretion, resulting in hyperglycemia. Diabetic amyotrophy is a specific complication that manifests as muscle weakness and pain, primarily affecting the proximal muscles of the lower limbs. Patients may experience significant discomfort and functional impairment due to this condition. Management of E09.44 involves careful monitoring of blood glucose levels, typically assessed through HbA1c testing, which provides an average of blood glucose levels over the past two to three months. Insulin therapy may be necessary to control hyperglycemia, especially in cases where oral hypoglycemic agents are ineffective. The presence of neurological complications necessitates a multidisciplinary approach to treatment, including physical therapy and pain management strategies to address the symptoms of diabetic amyotrophy.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires understanding of drug-induced diabetes mechanisms
  • Involves knowledge of neurological complications associated with diabetes
  • Need for precise documentation of drug history
  • Complexity in differentiating from other types of diabetes

Audit Risk Factors

  • Inadequate documentation of drug history
  • Failure to document neurological symptoms
  • Incorrect coding of diabetes type
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed medication history, HbA1c levels, and treatment plans.

Common Clinical Scenarios

Management of patients with drug-induced diabetes and associated complications.

Billing Considerations

Ensure accurate documentation of the specific drug causing diabetes and its effects.

Neurology

Documentation Requirements

Neurological assessments, symptom descriptions, and treatment responses.

Common Clinical Scenarios

Evaluation of patients presenting with diabetic amyotrophy.

Billing Considerations

Document the neurological examination findings and their correlation with diabetes.

Coding Guidelines

Inclusion Criteria

Use E09.44 When
  • According to ICD
  • 10 guidelines, E09
  • 44 should be used when diabetes is specifically induced by drugs or chemicals and is accompanied by neurological complications
  • Coders must ensure that the drug responsible for the diabetes is documented and that the neurological complications are clearly outlined in the medical record

Exclusion Criteria

Do NOT use E09.44 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for diabetes management.

Documentation Requirements

Document patient's history, examination findings, and treatment plan.

Specialty Considerations

Endocrinologists should focus on medication adjustments and complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diabetes types, including drug-induced cases, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes types, including drug-induced cases, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of diabetes types, including drug-induced cases, which enhances the accuracy of patient records and treatment plans.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What types of drugs can induce diabetes mellitus?

Common drugs that can induce diabetes include corticosteroids, certain antipsychotics, and some chemotherapy agents. It is crucial to document the specific medication responsible for accurate coding.